Claims Adjuster-Auto

Sedgwick

Ottawa, ON

# Claims Adjuster-AutoApply: CAN-Telecommute-QC: Full time: Posted Yesterday: R78585By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Claims Adjuster-Auto### **Expert en sinistres – Automobile****Objectif principal**Relevant du chef d’équipe, l’expert en sinistres automobile est responsable d’offrir un niveau de service constamment élevé en enquêtant sur les réclamations d’assurance pour le compte d’assureurs ou de tiers et en négociant le règlement des sinistres à la satisfaction de toutes les parties concernées.**Fonctions et responsabilités essentielles*** Doit avoir une bonne connaissance en révision et analyse de couverture.* Gérer de façon autonome les enquêtes complètes au téléphone sur les dossiers assignés, tout en respectant les normes de qualité de l’entreprise, notamment : recueillir tous les renseignements pertinents relatifs aux pertes; déterminer la couverture et la validité des réclamations; communiquer avec les assurés et les demandeurs; préparer les rapports; négocier les règlements.* Maintenir des dossiers de façon concise conformément aux normes et procédures de l’entreprise à l’aide des systèmes informatiques internes.* Examiner et interpréter les libellés de police afin de confirmer et d’appliquer la couverture des pertes.* Gérer avec exactitude et efficacité la facturation des dossiers assignés dans les délais prescrits.* Maintenir d’excellentes relations de travail avec les clients existants afin de soutenir le développement des affaires.* Participer à la formation continue afin de demeurer à jour quant aux enjeux, aux changements législatifs et aux tendances de l’industrie.* Identifier les besoins et coordonner l’attribution de mandats aux experts en sinistres sur le terrain.]**Fonctions et responsabilités additionnelles*** Exécuter toute autre tâche connexe assignée.**Qualifications****Formation et permis*** Détenir le permis d’expert en sinistres requis dans la province concernée.* Obtenir le permis nécessaire dans la province locale ou dans une combinaison d’autres provinces dans les six mois suivant la date d’embauche.* Détenir un diplôme universitaire de quatre ans ou l’équivalent, ou une expérience pertinente en règlement de sinistres, ou encore un diplôme collégial de deux ans dans un domaine connexe.* Être inscrit au programme PAA (Professionnel d’assurance agréé) ou avoir obtenu le titre PAA (CIP).* Permis d’expert en sinistre du Québec (AMF) requis ou capacité de l’obtenir.* Une expérience en règlement de sinistres commerciaux et/ou la détention d’un permis d’expert en sinistre commercial au Québec est considérée comme un atout important.**Expérience*** Réussite au programme de stagiaire de Sedgwick ou expérience préalable auprès d’un administrateur tiers (TPA), d’un expert en sinistres sur la route ou d’un assureur.* De 1 à 3 années d’expérience en gestion et règlement de sinistres.* L’expérience en sinistres de transport/cargo constitue un atout.**Compétences et connaissances*** Excellentes compétences en règlement de sinistres, en négociation et en analyse.* Excellentes aptitudes en relations interpersonnelles et en communication.* Maîtrise avancée des outils informatiques, notamment Microsoft Office, Outlook et les applications Web.**Avis important**Les énoncés contenus dans cette description visent à décrire la nature générale et le niveau du travail effectué par les collègues occupant ce poste. Ils ne constituent pas une liste exhaustive des fonctions, responsabilités ou variations locales. La direction se réserve le droit d’ajouter ou de modifier les responsabilités du poste en tout temps.Lorsque applicable, Sedgwick utilise des outils d’intelligence artificielle pour soutenir le dépistage, l’évaluation ou la sélection des candidats. Ces outils font l’objet de révisions périodiques.Nous nous engageons à offrir un processus de recrutement et de sélection inclusif et exempt d’obstacles. Si vous êtes contacté pour une opportunité d’emploi, veuillez aviser l’équipe des Ressources collègues si vous avez besoin de mesures d’adaptation. ## PRIMARY PURPOSE: Reporting to the Team Leader, the Claims Adjuster, Auto is responsible for providing a consistently high level of service by investigating insurance claims for insurers or third parties and negotiating settlement of the claims to the satisfaction of all parties.ESSENTIAL FUNCTIONS and RESPONSIBILITIES:* Must be familiar with reviewing coverage analysis.* Manages comprehensive desktop investigation of assigned claims while meeting company standards and quality, including obtaining all required loss details and relevant information; determining coverage and validity of claims, and communicating with insured and claimants; preparing reports and negotiating settlements* Maintains accurate records based on company standards and procedures, using company custom computer systems* Reviews and interprets policy wording to confirm and apply coverage of losses* Accurately and efficiently manages the billing for assigned files, within specified timelines* Maintains an excellent working relationship with existing clients to further develop business* Committed to continuous education to keep up-to-date with all industry and legislative issues and changes* Identifies the need and co-ordination of task assignments utilizing field adjusters* undefinedADDITIONAL FUNCTIONS and RESPONSIBILITIES: Performs other duties as assigned.QUALIFICATIONS:* Education & Licensing: Licensed in local provinceObtain license in local province or other provinces combination within 6 months of hire date4-Year college degree or equivalent or relative claim experience or 2-year associate’s degree in related field* Enrolled in CIP or completed CIP Designation Licensed in local province.* Quebec Adjuster Licence (AMF) required or ability to obtain* Commercial lines adjusting experience and/or Commercial Quebec Adjuster License considered a strong asset.Experience: Success as Sedgwick trainee or prior TPA/Field and/or carrier experience1–3-year claims handling experience.Cargo experience an assetSkills & Knowledge: Proven adjusting, negotiating skills and analytical skillsExcellent interpersonal and communication skillsAdvanced computer skills including office, outlook and web based applications The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review. We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Where applicable, Sedgwick uses artificial intelligence tools to assist in the screening, assessment, or selection of candidates. These tools are subject to periodic review.We are committed to inclusive, barrier-free recruitment and selection processes. If contacted for an employment opportunity, please advise Colleague Resources if you require accommodation.
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